Individual
COLLIN ANTHONY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
1238 BEDFORD AVE, APT #4, BROOKLYN, NY 11216-1822
(631) 241-3983
Mailing address
1238 BEDFORD AVE, APT# 4, BROOKLYN, NY 11216-1822
(631) 241-3983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031114
NY
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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